Approved Certificates of Insurance

The certificates of insurance listed below may contain or incorporate material that is protected by U.S. or foreign copyright laws, and no person may reproduce, redistribute, or make commercial use of any such material in violation of those laws. ACORD has advised that its certificates of insurance are for ACORD member use only.

Entity NameForm NumberForm NameApproval Date
ACORDACORD 20 (2009/12)Certificate of Aviation Liability Insurance2015-06-25
ACORDACORD 20 (2016/03)Certificate of Aviation Liability Insurance2015-06-25
ACORDACORD 21 (2009/12)Certificate of Aircraft Insurance2015-06-25
ACORDACORD 21 (2016/03)Certificate of Aircraft Insurance2015-06-25
ACORDACORD 22 (2012/04)Intermodal Interchange Certificate of Insurance2015-06-25
ACORDACORD 22 (2016/03)Intermodal Interchange Certificate of Insurance2015-06-25
ACORDACORD 23 (2010/05)Vehicle or Equipment Certificate of Insurance2015-06-25
ACORDACORD 23 (2016/03)Vehicle or Equipment Certificate of Insurance2015-06-25
ACORDACORD 24 (2009/09)Certificate of Property Insurance2015-06-25
ACORDACORD 24 (2016/03)Certificate of Property Insurance2015-06-25
ACORDACORD 25 (2025/12)Certificate of Liability Insurance2025-11-13
ACORDACORD 27 (2009/12)Evidence of Property Insurance2015-06-25
ACORDACORD 27 (2016/03)Evidence of Property Insurance2015-06-25
ACORDACORD 28 (2014/01)Evidence of Commercial Property Insurance2015-06-25
ACORDACORD 28 (2016/03)Evidence of Commercial Property Insurance2015-06-25
ACORDACORD 29 (2013/10)Evidence of Flood Insurance2015-06-25
ACORDACORD 29 (2016/03)Evidence of Flood Insurance2015-06-25
ACORDACORD 30 (2014/01)Certificate of Garage Insurance2015-06-25
ACORDACORD 30 (2016/03)Certificate of Garage Insurance2015-06-25
ACORDACORD 31 (2014/01)Certificate of Marine/Energy Insurance2015-06-25
ACORDACORD 31 (2016/03)Certificate of Marine/Energy Insurance2015-06-25
ACORDACORD 855 NY (2014/05)New York Construction Certificate of
Liability Insurance Addendum
2015-06-25
American Institute of ArchitectsG715-2017Supplemental Attachment for ACORD Certificate of Insurance 252018-10-05
BNC Insurance Agency, Inc.S02-SPQ (10/2018)BNC Subshield Insurance Prequalification Form2018-10-03
District Attorney's Office, Bronx CountyNACertificates of Insurance2015-07-28
District Attorney's Office, Kings CountyNACertificates of Insurance2015-07-28
District Attorney's Office, New York CountyNACertificates of Insurance2015-07-28
District Attorney's Office, Queens CountyNACertificates of Insurance2015-07-28
District Attorney's Office, Richmond CountyNACertificates of Insurance2015-07-28
Edwards and CompanyNASubcontractor Certificate of Insurance Review2018-10-30
Insurance Services Office, Inc.IL C 001 11 11Certificate of Commercial Liability Insurance2015-10-06
Insurance Services Office, Inc.IL C 006 12 11Certificate of Property Insurance (Commercial Risks)2015-10-06
Mayor's Fund to Advance New York CityNACertificates of Insurance2015-06-25
Metropolitan Transportation AuthorityNALong Island Rail Road Certificate of Insurance2017-12-04
Metropolitan Transportation AuthorityNALong Island Rail Road Certificate of Insurance (Capital Contract - OCIP)2017-12-04
Metropolitan Transportation AuthorityNAMetro-North Railroad Certificate of Insurance2017-12-04
Metropolitan Transportation AuthorityNAMetro-North Railroad Certificate of Insurance (Capital Contract - OCIP)2017-12-04
Metropolitan Transportation AuthorityNAMetropolitan Transportation Authority Certificate Insurance Headquarters Agreements2017-12-04
Metropolitan Transportation AuthorityNAMetropolitan Transportation Authority Certificate of Insurance (for Joint Agency Agreements)2017-12-04
Metropolitan Transportation AuthorityNAMTA Bus Company Certificate of Insurance2017-12-04
Metropolitan Transportation AuthorityNAMTA Capital Construction Company Certificate of Insurance2017-12-04
Metropolitan Transportation AuthorityNAMTA Capital Construction Company Certificate of Insurance (Capital Contract - OCIP)2017-12-04
Metropolitan Transportation AuthorityNANew York City Transit Certificate of Insurance2017-12-04
Metropolitan Transportation AuthorityNANew York City Transit Certificate of Insurance (Capital Contract - OCIP)2017-12-04
Metropolitan Transportation AuthorityNATriborough Bridge & Tunnel Authority Certificate of Insurance2017-12-04
Metropolitan Transportation AuthorityNATriborough Bridge & Tunnel Authority Certificate of Insurance (Capital Contract - OCIP)2017-12-04
New York CityNACertificates of Insurance2015-05-07
New York City Board of EducationNACertificates of Insurance2015-06-25
New York City Housing AuthorityNARiskWorks rm. Compliance Insurance Questionnaire Forms2017-08-18
New York State Thruway AuthorityTA-W51343 (11/2017)Supplemental Insurance Certificate2018-08-16
Saxe Doernberger & Vita P.C.N/AInsurance Verification Form2022-08-12
SecureInsightNAInsurance Authorization & Verification Form2016-05-11
SecureInsightNAFidelity Bond (Employee Dishonesty/Crime Coverage) Authorization & Verification Form2016-05-11
SecureInsightNAProfessional Liability Coverage (Errors & Omissions) Authorization & Verification Form2016-05-11
SterlingRisk InsuranceNACertification of Coverage by Insurance Broker or Agent2021-08-16
Sullivan & Strauss Agency, Inc.NACertificate of SkiSafe Boat Insurance2015-08-24
Sullivan & Strauss Agency, Inc.NAEvidence of Ski-Safe Boat Insurance2015-08-24
Town of IslipNAAffirmation of Insurance Coverage2016-05-09
USI Insurance Services, LLCUSI-AFFIRMOFC (12/15)Affirmation of Coverage by Subcontractor's Broker/Agent2015-12-03